is a Mental Health in Matawan, New Jersey. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for is 1952568669. The last update date is .
's current location address is 4122 Route 516, Matawan, New Jersey. You can contact this provider via phone number 7326794500 and fax number 7326794549. The mailing address for is 4122 Route 516, Matawan, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 4122 Route 516, Matawan, New Jersey |
Phone Number | 7326794500 |
Fax Number | 7326794549 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1952568669 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 4122 Route 516 |
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City | Matawan |
State | New Jersey (NJ) |
Post Code | 77477031 |
Phone Number | 7326794500 |
Fax Number | 7326794549 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 37PC00335300 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
21806 | NJ | -- | |
BA526562 | NJ | MEDICARE PROVIDER NUMBER |
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